Esophageal obstruction due to extensive intramural esophageal dissection: Diagnosis and treatment using an endoscopic 'rendezvous' technique

Joseph H. Shelton, D. B. Mallat, S. J. Spechler

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Intramural esophageal dissection is an uncommon condition which usually responds to conservative management. We report an unusual case of extensive dissection resulting in complete esophageal obstruction, and which required endoscopic therapy. Diagnosis was made using two endoscopes: the transoral endoscope was in the false esophageal lumen, while a second endoscope inserted through a pre-existing gastrostomy was in the true esophageal lumen. Endoscopic needle knife incision of the entire mucosal septum resolved the patient's symptoms, and was performed without complication. The literature is reviewed for current knowledge of this condition. We also propose that 'intramural esophageal dissection' should be the preferred name for this condition, which at present is known by many names.

Original languageEnglish (US)
Pages (from-to)274-277
Number of pages4
JournalDiseases of the Esophagus
Volume20
Issue number3
DOIs
StatePublished - Jun 1 2007

Keywords

  • Esophageal dissection
  • Esophageal obstruction
  • Needle knife
  • Rendezvous

ASJC Scopus subject areas

  • Gastroenterology

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